Individual
HAILESLASSIE FISSAHA GEBREMIKAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 S LABURNUM AVE, RICHMOND, VA 23231-4410
(804) 222-7827
Mailing address
5100 S LABURNUM AVE, RICHMOND, VA 23231-4410
(804) 222-7827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214289
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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